Keegan Hackman, LMSW in Middletown, CT - Medicare Social Worker Provider

Keegan Hackman, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Connecticut. Her current practice location is 28 Crescent St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 358-3423.

Keegan Hackman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083075840.

Contact Information

	Keegan Hackman, LMSW
	28 Crescent St, Middletown, CT 06457-3654
	(860) 358-3423
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keegan Hackman
Gender	Female
Speciality	Social Worker - Clinical
Location	28 Crescent St, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083075840
Provider Enumeration Date: 03/08/2016
Last Update Date: 03/08/2016

Medicare PECOS Information:

PECOS PAC ID: 7719242957
Enrollment ID: I20180517001982

Medical Identifiers

Medical identifiers for Keegan Hackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083075840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keegan Hackman allows following entities to bill medicare on her behalf.

Entity Name	New Vitae Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609923622 PECOS PAC ID: 0840278222 Enrollment ID: O20040712000932

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keegan Hackman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keegan Hackman, LMSW 28 Crescent St, Middletown, CT 06457-3654 Ph: () -	Keegan Hackman, LMSW 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-3423

Reviews and Comments

Social Worker in Middletown, CT

Rebecca Rotondo, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 Phone: 860-343-5300
Ellen B Koch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: River Valley Services, Dutton Home Silver St, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Vanessa M Cardella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 267 William St, Middletown, CT 06457 Phone: 860-834-1018
Amanda L Wolf, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Macdonough Pl, Middletown, CT 06457 Phone: 860-358-3437
Rachel U Manemeit, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Dutton Home Silver St, River Valley Services, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Mr. Walter Livingston Miller, LCSW LADC NCGC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Problem Gambling Services 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-344-2244 Fax: 860-344-2360
Howard W Labrecque, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-344-6394 Fax: 860-344-6748

Keegan Hackman, LMSW - Medicare Clinical Social Worker in Middletown, CT